Health care and socioeconomic impact of falls in the elderly

作者：Siracuse Jeffrey J^*; Odell David D; Gondek Stephen P; Odom Stephen R; Kasper Ekkehard M; Hauser Carl J; Moorman Donald W

来源：American Journal of Surgery, 2012, 203(3): 335-338.

DOI：10.1016/j.amjsurg.2011.09.018

• Elderly
• Falls
• Trauma
• Costs

BACKGROUND: Elderly falls are associated with long hospital stays, major morbidity, and mortality. We sought to examine the fate of patients >= 75 years of age admitted after falls.
METHODS: We reviewed all fall admissions in 2008. Causes, comorbidities, injuries, procedures, mortality, readmission, and costs were analyzed.
RESULTS: Seven hundred eight patients >= 75 years old were admitted after a fall, with 89% being simple falls. Short-term mortality was 6%. Male sex, atrial fibrillation, acute myocardial infarction, congestive heart failure (CHF), intracranial hemorrhage, hospital-acquired pneumonia, trigger events, Clostridium difficile, and intubation were predictors of death (P < .05). Thirty-day readmission occurred in 14%; CHF, craniotomy, and acute renal failure were predictive. The median cost of hospitalization was $11,000 with cardiac disease, anemia, major orthopedic and neurosurgical procedures, pneumonia, and intubation as predictive.
CONCLUSIONS: Simple falls in the elderly have high morbidity, mortality, and costs. Methodologies for prevention are warranted and should be studied intensively.

• 出版日期2012-3